Provider Demographics
NPI:1497170658
Name:ALEXANDER COUNSELING CENTER, LLC
Entity Type:Organization
Organization Name:ALEXANDER COUNSELING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:RUTHANNE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPCI
Authorized Official - Phone:541-826-8282
Mailing Address - Street 1:PO BOX 742
Mailing Address - Street 2:
Mailing Address - City:EAGLE POINT
Mailing Address - State:OR
Mailing Address - Zip Code:97524-0742
Mailing Address - Country:US
Mailing Address - Phone:541-826-8282
Mailing Address - Fax:866-826-8483
Practice Address - Street 1:236 LOTO ST
Practice Address - Street 2:
Practice Address - City:EAGLE POINT
Practice Address - State:OR
Practice Address - Zip Code:97524-0890
Practice Address - Country:US
Practice Address - Phone:541-826-8282
Practice Address - Fax:866-826-8483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-25
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORR2261101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty